MEDICARE: JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	042-618378	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5933000001	OTHER	IL	MEDICARE DME

General Provider Information

NPI Number	:	1063470524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.

Provider Business Mailing Address
First Line	:	P.O. BOX 649
Second Line	:
City	:	WOOD RIVER
State	:	IL
Zip	:	62095
Country	:	US
Telephone Number	:	618-259-3321
Fax Number	:	618-259-3324

Provider Business Practice Location Address
First Line	:	1702 VAUGHN RD
Second Line	:
City	:	WOOD RIVER
State	:	IL
Zip	:	62095
Country	:	US
Telephone Number	:	618-259-3321
Fax Number	:	618-259-3324

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES A BRIGGS
Credential	:	D.C.
Telephone Number	:	618-259-3321

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	01/22/2014

Similar Medicare Providers

1760431373 — PEGGIE J HURTEAU N.P.
Practice Location Address:

393 E EDWARDSVILLE RD
WOOD RIVER, IL
62095-1646

Practice Phone: 618-259-4111
Practice Fax:

1093525479 — KAYLEE COLLINS
Practice Location Address:

501 E LORENA AVE
WOOD RIVER, IL
62095-2123

Practice Phone: 618-254-4354
Practice Fax:

1235122466 — CLAUD R SNOWDEN OD
Practice Location Address:

242 E FERGUSON AVE
WOOD RIVER, IL
62095-2002

Practice Phone: 618-254-8463
Practice Fax: 618-254-4164

1437143732 — DR. WILLIAM M GOEBEL DDS
Practice Location Address:

22 S 2ND ST
WOOD RIVER, IL
62095-2006

Practice Phone: 618-254-9813
Practice Fax:

1104880012 — DR. WILLIAM CLARENCE COX D.M.D.
Practice Location Address:

22 S 2ND ST
WOOD RIVER, IL
62095-2006

Practice Phone: 618-254-9813
Practice Fax: 618-254-9817

1356392047 — WOOD RIVER HARTFORD SCH DIST 15
Practice Location Address:

501 E LORENA AVE
WOOD RIVER, IL
62095-2123

Practice Phone: 618-254-0607
Practice Fax: 618-254-9048

Directions to “JERSEYVILLE PAIN MANAGEMENT CENTER, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.